Background: Atopic dermatitis (AD) is a chronic, inflammatory skin disease, common in children. Pathologic cutaneous inflammation is driven by activated T-helper cells. Studies demonstrate that childhood AD is associated with Th2 immune activation. IL-33 is an intracellular cytokine, abundantly expressed in tissues, which are exposed to the environment. Cellular damage, due to scratching, encounter to infectious pathogens or exposure to allergens, trigger the release of IL-33. Extracellularly IL-33 acts as an activator for Th2 lymphocytes. Soluble ST2 (sST2) is a decoy receptor for IL-33. Combined to sST2, IL-33 loses its biological functions, which results in the alleviation of Th2 immune response. With this study we wanted to investigate the role of IL-33 and sST2 in pediatric AD. Material and Methods: Blood and stool samples from children with AD and healthy controls were tested for IL-33 and sST2 concentrations. Results: Children with AD presented significantly higher blood IL-33 concentrations, compared to healthy controls: 18,21 pg/ ml vs 0, p<0,05. Stool IL-33 levels demonstrated no significant difference between the two groups: 12,43 pg/ml vs 45,94 pg/ml, p>0,05. Blood and stool sST2 concentrations showed no significant difference: 67,58 pg/ml vs 74,96 pg/ ml, p>0,05; 0 vs 0, p>0,05, respectively. Conclusion: IL-33 is associated with pediatric AD. Blood, but not stool IL-33 testing can be used as a biomarker. sST2 showed no difference in AD.